HomeMy WebLinkAboutBLD10537 Final Woodstove - BLD Permit / Conditions - 8/17/1981 CALLAHAN, Donald F. #10537
05-07-81
North Shore to Tahuya (Ka:ys corner after crossing bridge
over Tahuya River) tv n right - stay right at fork in
road - 2-1/2 miles from Kays corner
S300, N400, NW1/4, SW1/4, Sec. 13, Twp 22N, Rge 3W
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Wood Stove Wood Stove Permit
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 _
DATE ISSUED—
PERMIT NO. ! `-`" C3 7
'�AME AIL ADDRESS CITY 3 STATE ZIP PHONE
OWNER L
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DIRECTIONS N-rL14 SiLuat 7-0 77Ft/kyA OKAYS C04-nl411,4AMt� C/td¢SN:p &t./yam o�e.c 7"*"-Y-v /Lcvtlt,
TO JOB SITE -raven! ;Z,9k7 S—ay A,-r41 ^T r4AX fv — 2? AC4--,s CV'ttit.11_
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. S 3 ov ry crU hi W y �'�,.� S e 3 rZi P z2,-J k3 Q A14V Tic -YAF R.✓ ti
NAME MAIL ADDRES CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR �P/
USE OF '
BUILDING Woo d SOU e— I
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE PERMIT FEE
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SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANEN SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be i c nformance� MOTOR VEHICLE PERMIT
PLIC TION A F EPTED BY PLANS CHECK BY APPROVED R ISSUANCE
owner Date. B �
AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. X, CASH